Methodist Health Centers

Doing business as Houston Methodist the Woodlands Hospital

Hospital in The Woodlands, TX, Medicare certification number 670122. CMS publishes 65 quality measures for it.

Medicare certification

Provider of Services

CCN: 670122The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 24, 2017
Last certification: May 11, 2023
Beds: 293
Overall star rating: 5 of 5Care Compare
Address: 17201 Interstate 45 South
The Woodlands, TX 77385
(936) 270-2000

NPI records for this facility (CCN to NPI Mapping) 1

Methodist Health Centers

dba Houston Methodist The Woodlands Hospital
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better5 of 5
- State average 3.71 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.67 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.07 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 2.96 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.28 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.32 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 3.82 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better5 of 5
- State average 3.69 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.27 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 1,221

Page 1 of 49Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Maira Aamir, MD
- Family Medicine Physician
- Shenandoah, TX
- NPI 1932660859
Elham Abbasi-Hafshejani, M.D.
- Hematology & Oncology Physician
- The Woodlands, TX
- NPI 1306856513
Aisha Abbasi, MD
- Nephrology Physician
- Conroe, TX
- NPI 1942837570
Davood Joseph Abdollahian, M.D.
- Vascular & Interventional Radiology Physician
- Houston, TX
- NPI 1902199474
Arif Bin Abdullah, M.D.
- Interventional Cardiology Physician
- Conroe, TX
- NPI 1801803069
Mohammed M. Aboelsoud, MD
- Gastroenterology Physician
- Shenandoah, TX
- NPI 1316351430
Anthony Abou Karam, M.D.
- Neuroradiology Physician
- New Haven, CT
- NPI 1649612763
Rajeshwar Pal Abrol, M.D.
- Gastroenterology Physician
- Tomball, TX
- NPI 1447258108
Fadi Ismail Abu-Shahin, MD
- Medical Oncology Physician
- Houston, TX
- NPI 1215123971
Raja Abusharr, M.D.
- Family Medicine Physician
- The Woodlands, TX
- NPI 1215993084
Emmanuel Achu, M.D.
- Internal Medicine Physician
- Shenandoah, TX
- NPI 1891112140
Bradley Adams, M.D.
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1861846271
Naga Saranya Addepally, M.D
- Gastroenterology Physician
- Houston, TX
- NPI 1275949265
Modupe Moronke Adeyefa, M.D.
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1457609315
Megan Murphy Adler, FNP
- Family Nurse Practitioner
- Spring, TX
- NPI 1346961307
Horacio Esteban Adrogue, MD
- Nephrology Physician
- Houston, TX
- NPI 1508958000
Robert Alan Aertker
- Interventional Cardiology Physician
- The Woodlands, TX
- NPI 1477843290
Adnan Afzal, M.D.
- Cardiovascular Disease Physician
- Conroe, TX
- NPI 1790862985
Dustin Agan, MD
- Interventional Cardiology Physician
- Shenandoah, TX
- NPI 1982895850
Benjamin T Agana Jr., MD
- Physical Medicine & Rehabilitation Physician
- Shenandoah, TX
- NPI 1063455111
Mayank Agarwal, MD
- Cardiovascular Disease Physician
- Humble, TX
- NPI 1053808261
Pratap Agusala, M.D.
- Interventional Cardiology Physician
- Shenandoah, TX
- NPI 1215040779
Afua S Agyarko, MD
- Internal Medicine Physician
- Spring, TX
- NPI 1023219862
Jessica A Aheron, MD
- Internal Medicine Physician
- The Woodlands, TX
- NPI 1174657258
Ataurrabb Ahmad, M.D.
- Surgery Physician
- Houston, TX
- NPI 1649289877

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.76
- State average 1.03 (computed here)
- National average 1.06
- No different than the national rate
- 1,589 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Better0.55
- State average 0.97 (computed here)
- National average 1
- Better than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected144.81
- State average 166 (computed here)
- National average 173.3
- No different than the national rate
- 113 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.4
- State average 2.71 (computed here)
- National average 2.4
- No different than the national rate
- 134 patients
- Period from 07/01/2022
Death rate for COPD patients As expected9.4
- State average 8.7 (computed here)
- National average 8.6
- No different than the national rate
- 114 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected10.1
- State average 11.91 (computed here)
- National average 11.9
- No different than the national rate
- 161 patients
- Period from 07/01/2022
Death rate for heart failure patients Better7.6
- State average 10.52 (computed here)
- National average 11.1
- Better than the national rate
- 727 patients
- Period from 07/01/2022
Death rate for pneumonia patients Better9.3
- State average 14.69 (computed here)
- National average 15.2
- Better than the national rate
- 786 patients
- Period from 07/01/2022
Death rate for stroke patients As expected11.5
- State average 12.01 (computed here)
- National average 11.9
- No different than the national rate
- 462 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected2.6
- State average 3.89 (computed here)
- National average 3.9
- No different than the national rate
- 5,287 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.14
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 8,623 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.3
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 9,142 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.02
- State average 3.34 (computed here)
- National average 3.52
- No different than the national rate
- 1,868 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.31
- State average 1.62 (computed here)
- National average 1.67
- No different than the national rate
- 634 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected1.7
- State average 2.31 (computed here)
- National average 2.34
- No different than the national rate
- 1,745 patients
- Period from 07/01/2022
Postoperative respiratory failure rate Better2.96
- State average 10.06 (computed here)
- National average 9.42
- Better than the national rate
- 684 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected3.34
- State average 5.23 (computed here)
- National average 5.27
- No different than the national rate
- 646 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.6
- State average 1.77 (computed here)
- National average 1.77
- No different than the national rate
- 427 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.12
- State average 0.52 (computed here)
- National average 0.63
- No different than the national rate
- 6,896 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.5
- State average 4.14 (computed here)
- National average 4.1
- No different than the national rate
- 98 patients
- Period from 04/01/2023

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.33
- State average 0.35
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.36
- State average 0.48
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.22
- State average 0.24
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.95
- State average 0.6
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected2.54
- State average 0.92
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.72
- State average 0.73
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 8.2
- State average 7.72 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 10.4
- State average 6.86 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.01
- State average 1.03
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 14

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 88
- State average 68
- National average 65
- 119 patients
- Period from 10/01/2024
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better 217
- State average 150
- National average 168
- 396 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better 214
- State average 145
- National average 162
- 384 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 100
- State average 93.64 (computed here)
- National average 96.1 (computed here)
- 355 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 100
- State average 92
- National average 93
- 83 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 70
- State average 74
- National average 78
- 3,861 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 100
- State average 93.78 (computed here)
- National average 93.49 (computed here)
- 1,673 patients
- Period from 01/01/2024
Left before being seen 0
- State average 1
- National average 2
- 65,890 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 15
- State average 14
- National average 15
- 7,020 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 98
- State average 74
- National average 73
- 43 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 97
- State average 89
- National average 87
- 37 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 92
- State average 83
- National average 81
- 120 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 97
- State average 93
- National average 93
- 78 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 99
- State average 78.56 (computed here)
- National average 82.23 (computed here)
- 9,740 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (16)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better — 1
Emergency department volume — very high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Head CT results — 1
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13.6
- State average 14.48 (computed here)
- National average 14.4
- No different than the national rate
- 227 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected19.2
- State average 21.26 (computed here)
- National average 21.3
- No different than the national rate
- 1,361 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 14.8
- State average 11.3 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 161 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -20.9
- State average -1.32 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 874 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -17.5
- State average 2.42 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 891 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected15.9
- State average 17.32 (computed here)
- National average 17.3
- No different than the national rate
- 1,382 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected4.7
- State average 5.29 (computed here)
- National average 5.4
- No different than the national rate
- 106 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.3
- State average 10.89 (computed here)
- National average 10.7
- No different than the national rate
- 106 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected4.9
- State average 5.89 (computed here)
- National average 5.8
- No different than the national rate
- 95 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected10.1
- State average 11.35 (computed here)
- National average 11
- No different than the national rate
- 173 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.3
- State average 19.85 (computed here)
- National average 20
- No different than the national rate
- 238 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.7
- State average 13.1 (computed here)
- National average 13
- No different than the national rate
- 1,488 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 942 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Other hospitals in The Woodlands, TX

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.